Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $2,754.23 / $8,912.51	Facility		$660.69	$2,754.23	$8,912.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $436.52 / $3,235.94	Professional		$173.78	$436.52	$3,235.94
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $57,543.99 / $64,565.42 / $70,794.58	Facility		$57,543.99	$64,565.42	$70,794.58
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $660.69 / $1,122.02	Professional		$436.52	$660.69	$1,122.02
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $645.65 / $6,918.31	Professional		$436.52	$645.65	$6,918.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $416.87 / $416.87	Facility		$416.87	$416.87	$416.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $478.63 / $4,466.84	Professional		$190.55	$478.63	$4,466.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $4,570.88 / $5,754.40 / $7,079.46	Professional		$4,570.88	$5,754.40	$7,079.46
Medcost Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $323.59 / $5,754.40	Professional		$257.04	$323.59	$5,754.40
Medcost Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $478.63 / $3,981.07	Facility		$204.17	$478.63	$3,981.07
Medcost Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $158.49 / $158.49	Professional		$158.49	$158.49	$158.49
Sentara Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $380.19 / $10,000.00	Facility		$165.96	$380.19	$10,000.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $2,454.71 / $10,000.00	Professional		$218.78	$2,454.71	$10,000.00
United Facility/Professional Facility Modifier Low / Median / High Price $8,317.64 / $15,848.93 / $41,686.94	Facility		$8,317.64	$15,848.93	$41,686.94
United Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $398.11 / $3,311.31	Professional		$165.96	$398.11	$3,311.31